<fieldset>
	<legend>Notification Settings</legend>
	<input type="checkbox" name="notif_email" /> Email<br />
	<input type="checkbox" name="notif_mobile" /><label for="notif_mobile">Mobile:</label> <input type="text" name="notif_mobile_num" /><br />
		<input type="checkbox" name="notif_facebook" /><label for="notif_facebook">Facebook:</label> <input type="text"
		name="notif_facebook_id" />< br/>
</fieldset>
